Family Care Clinic Llc
LBN: Family Care Clinic Llc
Family Care Clinic Llc is an health care organization with primary practice located at 306 N Chancery St , Mcminnville TN 37110-2048. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Family Care Clinic Llc can be contacted via phone (931) 474-4700, or through Hill, Theresa Herrin via phone (931) 474-4700.
Contact Information
Primary practice address
306 N Chancery St
Mcminnville TN 37110-2048
Phone: (931) 474-4700
Fax: (931) 474-4701
Website:
Authorized official contact:
Name: Hill, Theresa Herrin Advanced Practice Nurse (APN)
Phone: (931) 474-4700
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
NPI number | 1780924456 |
---|---|
LBN Legal business name | Family Care Clinic Llc |
DBA Doing business as | |
Authorized official | Hill, Theresa Herrin Advanced Practice Nurse (APN) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 18th, 2013 |
Last updated | Jan 15th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780924456 | NPPES |
Tennessee | Other | 01032615 | AMERIGROUP |
Tennessee | MEDICAID | 3649680 | AMERIGROUP |
Tennessee | Other | TN0101 | AMERIGROUP |
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